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53D2029475 CLIA NUMBER - PROFESSIONAL PATHOLOGY OF WYOMING

Laboratory Demographics

CLIA Number: 53D2029475

Facility Name: PROFESSIONAL PATHOLOGY OF WYOMING

Facility Address:
111 SOUTH JEFFERSON STREET
CASPER, WY
ZIP 82601
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Facility Phone Number: 307 337-1670

Facility Type: Other - PRIVATE PATHOLOGY LAB

Certificate Type: Accreditation
NPI Number: 1386916724

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 53D2029475
LAB Type Other - PRIVATE PATHOLOGY LAB
Facility Name PROFESSIONAL PATHOLOGY OF WYOMING
Street 111 SOUTH JEFFERSON STREET
City CASPER
State WY
ZIP 82601
Phone 307 337-1670
CertificateType 1
CertificateEffectiveDate 8/14/2023
CertificateExpirationDate 8/13/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024